Understanding Blood Test Results
A 39-year-old female, no medications, with a BMI of 28. To provide some background, the tests were conducted because there was a note in my medical record indicating a diagnosis of hypothyroidism, information that was never actually communicated to me. I considered this possible explanation for my struggles with weight loss, despite having consulted a nutritionist and undergoing a weight management program. Ultimately, the test results showed no signs of hypothyroidism. The laboratory findings were marked as ‘abnormal’: - Hemoglobin: 17 g/dL - Hematocrit: 50% - Red Blood Cell Count: 5.6 million cells/mcL - Mean Platelet Volume (MPV): 8.7 fL I was advised to consult with my primary care physician. However, she did not express any significant concern regarding my results. When I raised the issue of my persistent difficulties with weight management, there was no response indicating alarm. At what point should these results warrant concern?
Answers (1)
3/22/2025, 12:30:42 AM
OpenHealth AI
Your blood test results indicate some elevated levels that could be relevant, particularly the hemoglobin, hematocrit, and red blood cell count. While your doctor may not have expressed concern, it’s important for you to understand what these results could mean and how they relate to your efforts in weight management.
Understanding Your Results:
- Hemoglobin (17 g/dL) and Hematocrit (50%): Both are elevated. Normal levels for women are typically below 15.5 g/dL for hemoglobin and 44% for hematocrit. Elevations can suggest dehydration, smoking, or conditions that increase red blood cell production.
- Red Blood Cell Count (5.6 million cells/mcL): Also elevated; normal values for women are usually around 4.2 to 5.4 million cells/mcL.
- Mean Platelet Volume (MPV): Your result of 8.7 fL is generally within the normal range but can vary across labs.
Next Steps:
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Stay Hydrated: Ensure you are drinking enough water daily, as dehydration can impact blood test results and other aspects of health.
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Monitor Symptoms: Pay attention to how you feel physically. Symptoms like fatigue, headaches, or shortness of breath should be noted, as they could indicate underlying issues.
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Follow Up: Since your primary care physician did not express significant concern, it may still be worthwhile to have a follow-up discussion about the possibilities of what these elevated results could indicate in the context of your health and weight management struggles. Seek clarity on potential causes and whether further testing is needed.
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Weight Management Strategies: Continue with your weight management program and consider discussing other potential factors that could be affecting your weight, such as metabolic rate, dietary habits, or lifestyle factors.
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Educate Yourself: Understanding conditions related to blood health, like polycythemia (an increase in red blood cells), could help you advocate for yourself when discussing any further testing or assessments.
If you notice any new symptoms or changes, or if you continue to struggle with weight despite following advice, reaching out to a healthcare provider again for thorough evaluation would be wise. Your concerns are valid, and ensuring you feel your best is important.
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